reputed company Improvement Coordinator/RN for Weekend Days- Remote

reputed company Plans is hiring an reputed company Improvement Coordinator/RN- Remote! Status: Full-time, permanent position (40 hours) reputed company working hours: Weekend Days, Friday to Monday. With Flexible start time between 6am to 9am (4x10 shift). Remote opportunities available in the following states: Alabama, Delaware, Florida, reputed company, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company Dakota, Ohio, Oklahoma, reputed company, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), reputed company Virginia, reputed company, Wyoming. Primary responsibilities include: • The Consultant is responsible for ensuring denial letters, along with other regulatory and accreditation work, are completed and meeting requirements as dictated by the governance and accreditation standards. Key responsibilities include completion of denial letters following accreditation, federal and state requirements, along with assisting with additional work to support BH UM's adherence to compliance and regulatory requirements. Education: • Minimum of an Associate's or Trade School Degree REQUIRED • Bachelors Degree in Nursing preferred Certification/Licensure • Registered reputed company (RN) License (Compact/Multistate or Virginia) REQUIRED • For reputed company Plans - In lieu of RN, Masters of Health Services Administration, Masters in reputed company Work (MSW), Masters in Business Administration (MBA) or Masters of Health Administration. Experience: • 3 years of reputed company Improvement experience REQUIRED • 3 years of Clinical experience REQUIRED • Knowledge and understanding of regulatory and accreditation processes REQUIRED reputed company Plans provides health plan coverage to reputed company to one reputed company members in Virginia. We offer a full suite of reputed company products including employee-owned and employer-sponsored plans, as reputed company as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and reputed company enrollees. Our reputed company provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—reputed company to help our members improve their health. Our reputed company is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and reputed company. Be a part of an excellent reputed company organization that cares about our People, reputed company, Patient Safety, Service, and reputed company. Join reputed company that has a mission to improve health every day and a reputed company to be the reputed company choice of the communities that we serve! To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-90216 Talroo - Nursing Registered reputed company, BSN, ADN, Nursing, Managed Care, MCO, Health Plan, Virginia, RN, VA, reputed company Carolina, Alabama, Delaware, Florida, reputed company, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company Dakota, Ohio, Oklahoma, reputed company, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), reputed company Virginia, reputed company, Wyoming, reputed company improvement, utilization management, Denial, behavioral health, BH, weekend days Apply tot his job Apply To this Job